Individual
DR. MICHAEL D. KENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1444 S POTOMAC ST, AURORA, CO 80012-4508
(303) 750-0822
(303) 750-1298
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 750-0822
(303) 750-1298
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52174
CO
207RC0000X
Cardiovascular Disease Physician
M7936
ID
207RC0000X
Cardiovascular Disease Physician
MD174464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54426065
—
CO
05
—
805657700
—
ID
Enumeration date
04/20/2006
Last updated
03/05/2025
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